Registered Nurses Perception of Medication Errors: A Cross Sectional Study in Southeast of Iran

The purpose of this study was (1) to determine frequency and type of medication errors (MEs), (2) to assess the number of MEs prevented by registered nurses, (3) to assess the consequences of ME for patients, and (4) to compare the number of MEs reported by a newly developed medication error self-reporting tool to the number reported by the traditional incident reporting system. We conducted a cross-sectional study on ME in the Cardiovascular Surgery Department of Bern University Hospital in Switzerland. Eligible registered nurses () involving in the medication process were included. Data on ME were collected using an investigator-developed medication error self reporting tool (MESRT) that asked about the occurrence and characteristics of ME. Registered nurses were instructed to complete a MESRT at the end of each shift even if there was no ME. All MESRTs were completed anonymously. During the one-month study period, a total of 987 MESRTs were returned. Of the 987 completed MESRTs, 288 (29%) indicated that there had been an ME. Registered nurses reported preventing 49 (5%) MEs. Overall, eight (2.8%) MEs had patient consequences. The high response rate suggests that this new method may be a very effective approach to detect, report, and describe ME in hospitals.

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Medication Errors in Adolescents Using Asthma Controller Medications

Global Pediatric Health ◽

10.1177/2333794x20981341 ◽

2020 ◽

Vol 7 ◽

pp. 2333794X2098134

Author(s):

Henry Clark ◽

Delesha Carpenter ◽

Kathleen Walsh ◽

Scott A. Davis ◽

Nacire Garcia ◽

...

Keyword(s):

Medical Record ◽

Medication Errors ◽

Medication Use ◽

Persistent Asthma ◽

Cross Sectional Study ◽

Asthma Medication ◽

Sectional Study ◽

Cross Sectional ◽

Controller Medication ◽

Controller Medications

The purpose of this study was to describe the number and types of errors that adolescents and caregivers report making when using asthma controller medications. A total of 319 adolescents ages 11 to 17 with persistent asthma and their caregivers participated in this cross-sectional study. Adolescent and caregiver reports of asthma medication use were compared to the prescribed directions in the medical record. An error was defined as discrepancies between reported use and the prescribed directions. About 38% of adolescents reported 1 error in using asthma controller medications, 16% reported 2 errors, and 5% reported 3 or more errors. About 42% of caregivers reported 1 error in adolescents using asthma controller medications, 14% reported 2 errors, while 6% reported 3 or more errors. The type of error most frequently reported by both was not taking the medication at all. Providers should ask open-ended questions of adolescents with asthma during visits so they can detect and educate families on how to overcome errors in taking controller medication use.

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NURSING INFORMATICS COMPETENCES OF FINNISH REGISTERED NURSES AFTER NATIONAL EDUCATIONAL INITIATIVES: A CROSS- SECTIONAL STUDY

Nurse Education Today ◽

10.1016/j.nedt.2021.105060 ◽

2021 ◽

pp. 105060

Author(s):

Anu-Marja Kaihlanen ◽

Kia Gluschkoff ◽

Ulla-Mari Kinnunen ◽

Kaija Saranto ◽

Outi Ahonen ◽

...

Keyword(s):

Registered Nurses ◽

Cross Sectional Study ◽

Nursing Informatics ◽

Sectional Study ◽

Cross Sectional ◽

Educational Initiatives

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Improving Medication Safety Through the Use of Metrics

Journal of Pharmacy Practice ◽

10.1177/0897190013504959 ◽

2013 ◽

Vol 27 (1) ◽

pp. 61-64

Author(s):

Robert D. Beckett ◽

Marina Yazdi ◽

Laura J. Hanson ◽

Ross W. Thompson

Keyword(s):

Medication Errors ◽

Medication Safety ◽

Adverse Drug Events ◽

Safety Information ◽

Medication Use ◽

Cross Sectional Study ◽

Survey Instrument ◽

Sectional Study ◽

Cross Sectional ◽

Safety Metrics

Purpose: Describe medication safety metrics used at University HealthSystem Consortium (UHC) institutions and recommend a meaningful way to report and communicate medication safety information across an organization. Methods: A cross-sectional study was conducted using an electronically distributed, open-ended survey instrument. Results: Twenty percent of the UHC institutions responded to our survey. Seventy-seven percent of those institutions responding to our survey reported their organization has defined metrics to measure medication safety; an additional 21% of the institutions were still in the process of defining metrics. Of metrics that were reported, 33% were true medication safety metrics. Results are distributed to a wide variety of institutional venues. Conclusion: Institutions should take several actions related to medication safety including defining local metrics; building metrics addressing preventable adverse drug events, medication errors, and technology; and reporting results to a variety of venues in order to design specific interventions to improve local medication use.

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Work Hours, Overtime, and Break Time of Registered Nurses Working in Medium-Sized Korean Hospitals

Workplace Health & Safety ◽

10.1177/2165079918769683 ◽

2018 ◽

Vol 66 (12) ◽

pp. 588-596 ◽

Cited By ~ 4

Author(s):

Sung-Heui Bae ◽

Sung-Woo Hwang ◽

Gunjeong Lee

Keyword(s):

Intensive Care ◽

Registered Nurses ◽

Work Conditions ◽

Cross Sectional Study ◽

Staff Nurses ◽

Work Hours ◽

Sectional Study ◽

Cross Sectional ◽

Daily Work ◽

Break Time

This cross-sectional study used quantitative survey data collected from registered nurses (RNs) who worked as staff nurses in medium-sized (300 beds or less) Korean hospitals. Data from 290 RNs were analyzed to examine the nature and prevalence of staff nurses’ work hours, overtime, breaks, and related work conditions. The results showed that staff nurses working in medium-sized Korean hospitals worked 9.6 hours a day on average and had 1.5 breaks daily, including mealtime. The average number of days the nurses skipped a meal due to work during the last month was 6.1. With respect to skipping bathroom breaks due to work, staff nurses reported that they could not visit the bathroom 7.3 times during the last month. Regarding work conditions, staff nurses working in intensive care units reported having longer daily work hours and were more likely to work 10 hours or more per shift. Nurses with less than 3 years of experience reported longer daily work hours and fewer breaks.

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Hospital medication errors: a cross-sectional study

International Journal for Quality in Health Care ◽

10.1093/intqhc/mzaa136 ◽

2020 ◽

Author(s):

Anton N ISAACS ◽

Kenneth CH’NG ◽

Naaz DELHIWALE ◽

Kieran TAYLOR ◽

Bethany KENT ◽

...

Keyword(s):

Medication Errors ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Workload Management ◽

Severity Rating ◽

Junior Staff ◽

Nurse Workload ◽

Level 3 ◽

Day Of The Week

Abstract Background Medication errors (MEs) are among the most common types of incidents reported in Australian and international hospitals. There is no uniform method of reporting and reducing these errors. This study aims to identify the incidence, time trends, types and factors associated with MEs in a large regional hospital in Australia. Methods A 5-year cross-sectional study. Results The incidence of MEs was 1.05 per 100 admitted patients. The highest frequency of errors was observed during the colder months of May–August. When distributed by day of the week, Mondays and Tuesdays had the highest frequency of errors. When distributed by hour of the day, time intervals from 7 am to 8 am and from 7 pm to 8 pm showed a sharp increase in the frequency of errors. One thousand and eighty-eight (57.8%) MEs belonged to incidence severity rating (ISR) level 4 and 787 (41.8%) belonged to ISR level 3. There were six incidents of ISR level 2 and only one incident of ISR level 1 reported during the five-year period 2014-2018. Administration-only errors were the most common accounting for 1070 (56.8%) followed by prescribing-only errors (433, 23%). High-risk medications were associated with half the number of errors, the most common of which were narcotics (17.9%) and antimicrobials (13.2%). Conclusions MEs continue to be a problem faced by international hospitals. Inexperience of health professionals and nurse–patient ratios might be the fundamental challenges to overcome. Specific training of junior staff in prescribing and administering medication and nurse workload management could be possible solutions to reducing MEs in hospitals.

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Anticoagulant medication errors in hospitals and primary care: a cross-sectional study

International Journal for Quality in Health Care ◽

10.1093/intqhc/mzy177 ◽

2018 ◽

Vol 31 (5) ◽

pp. 346-352 ◽

Cited By ~ 2

Author(s):

Albert R Dreijer ◽

Jeroen Diepstraten ◽

Vera E Bukkems ◽

Peter G M Mol ◽

Frank W G Leebeek ◽

...

Keyword(s):

Human Factors ◽

Medication Error ◽

Medication Errors ◽

Cross Sectional Study ◽

Sectional Study ◽

Cross Sectional ◽

Medication Process ◽

Before And After ◽

Anticoagulant Medication ◽

Error Reports

Abstract Objective To assess the proportion of all medication error reports in hospitals and primary care that involved an anticoagulant. Secondary objectives were the anticoagulant involved, phase of the medication process in which the error occurred, causes and consequences of 1000 anticoagulant medication errors. Additional secondary objectives were the total number of anticoagulant medication error reports per month, divided by the total number of medication error reports per month and the proportion of causes of 1000 anticoagulant medication errors (comparing the pre- and post-guideline phase). Design A cross-sectional study. Setting Medication errors reported to the Central Medication incidents Registration reporting system. Participants Between December 2012 and May 2015, 42 962 medication errors were reported to the CMR. Intervention N/A. Main outcome measure Proportion of all medication error reports that involved an anticoagulant. Phase of the medication process in which the error occurred, causes and consequences of 1000 anticoagulant medication errors. The total number of anticoagulant medication error reports per month, divided by the total number of medication error reports per month (comparing the pre- and post-guideline phase) and the total number of causes of 1000 anticoagulant medication errors before and after introduction of the LSKA 2.0 guideline. Results Anticoagulants were involved in 8.3% of the medication error reports. A random selection of 1000 anticoagulant medication error reports revealed that low-molecular weight heparins were most often involved in the error reports (56.2%). Most reports concerned the prescribing phase of the medication process (37.1%) and human factors were the leading cause of medication errors mentioned in the reports (53.4%). Publication of the national guideline on integrated antithrombotic care had no effect on the proportion of anticoagulant medication error reports. Human factors were the leading cause of medication errors before and after publication of the guideline. Conclusions Anticoagulant medication errors occurred in 8.3% of all medication errors. Most error reports concerned the prescribing phase of the medication process. Leading cause was human factors. The publication of the guideline had no effect on the proportion of anticoagulant medication errors.

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Perceptions of Spiritual Care Education, Competence, and Barriers in Providing Spiritual Care Among Registered Nurses

Journal of Holistic Nursing ◽

10.1177/0898010119885266 ◽

2019 ◽

Vol 38 (1) ◽

pp. 41-51

Author(s):

Alexis Green ◽

Yeoun Soo Kim-Godwin ◽

Carolyn W. Jones

Keyword(s):

Registered Nurses ◽

Spiritual Care ◽

Online Survey ◽

Cross Sectional Study ◽

Care Practice ◽

State University ◽

Sectional Study ◽

Frequency Method ◽

Cross Sectional ◽

Care Education

Purpose: The purpose of the study was to explore registered nurses’ (RNs) perceptions of their spiritual care competence (SCC), preparedness, and barriers to providing spiritual care and frequency of provision of spiritual care. Additionally, the study aimed to examine associations between spiritual care education, preparedness, competence, and frequency. Method: A descriptive, cross-sectional study included demographic questions, the Spiritual Care Competency scale, the Nurses’ Spiritual Care Therapeutics scale, the Spiritual Care Practice questionnaire subscale II, and three open-ended questions. Findings: This online survey was completed by 391 RNs enrolled in postlicensure programs at a public state university in southeastern United States. A majority of participants reported not feeling prepared to provide spiritual care. There were strong associations between receiving spiritual care education in prelicensure programs or at work, and self-reported feelings of preparedness, as well as overall SCC. The level of SCC was positively correlated with spiritual care frequency and number of years working as an RN. Conclusions: The results of this study highlight the need for spiritual care education in prelicensure programs as well as on the job training for RNs.

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